RN Case Manager / Care Coach - Plant City FL

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Job Information
Humana
RN Case Manager / Care Coach - Plant City, FL
in
Plant City
Florida
Description
Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.
Responsibilities
Conviva Care Solutions is seeking an RN to work in a dual role as case manager and care coach. The Case Manager/Care Coach
will work in clinic alongside providers and staff to assess discharge care coordination needs of patients, make telephonic follow up calls and coordinate services for identified members who have acute and long-term chronic conditions and or needs.
Job Functions
Implement physician approved care plans for patients in the Care Coordination System.
Lead and collaborate with other members of the healthcare team in the planning, directing and evaluating patients in the Care Coordination System
Monitor and care for high risk patients with acute and chronic medical conditions
Assess patient needs; develop, plan, implement and evaluate goals with interventions for the care plan to meet patient's and family's needs
Record patient care and progress on appropriate documents including patient-specific care plans. Maintain and properly log patient follow up calls as required
Educate and teach patients and families regarding patient disease and procedures that will directly affect the patient
Role Requirements
Active RN License
Active CPR-BLS from the American Heart Association
Minimum of 2 years of prior clinical experience in an acute or post-acute setting
Proficiency with computers including Microsoft products, Word, Excel, and Outlook
Able to provide face to face and telephonic patient care
Preferred Education, Experience & Skills
Prior intensive care and/or coronary care or Medical Surgical experience preferred
Bachelor's or Associate's Degree in Nursing preferred
Experience with Electronic Medical Records; e-Clinical Works (e-CW)
ICD-10, CPT codes, HCPCS knowledge preferred
Managed care experience including knowledge of HEDIS and CMS guidelines
English and Spanish bilingual preferred
Additional Information
This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
Provide proof of full vaccination or commit to testing protocols
*OR  *
Provide proof of applicable exemption including any required supporting documentation
Medical, religious, state and remote-only work exemptions are available.
Alert:
Conviva, a subsidiary of Humana, values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website.
Interview Format: MODERN HIRE
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40

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